yh leadership meeting 30th october 2012 final

7/30/2019 YH Leadership Meeting 30th October 2012 Final

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Welcome and Introductions

Rosy Pope welcomed everyone to the meeting. Rosy explained that she ischairing this meeting as the Lead Director for people with Learning Disabilitiesfor the Association of Directors (ADASS) in Yorkshire and Humber.Everyone introduced themselves

Rosy said this meeting is happening to help everyone across Yorkshire andHumber work together and understand what we all need to do after the abuse atWinterbourne View to make sure people with learning disabilities have goodsupport and are safe

What the reviews and reports have said

Jenny Anderton told everyone about the court case, inspections and reviews thathave happened since the abuse at Winterbourne View.

There is a copy of Jennys presentation with these notes.

Yorkshire and Humber LearningDisability Leadership Meeting

Tuesday 30th October in York


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The big things she said went wrong were:

Poor management and poor leaders

Poor practise by people who check services

Poor practise by people who buy services

Poor practise by people who review services

People not talking to each other, police, safeguarding and peoplewho buy services

Not listening to people and families

A failure to develop and maintain local services and partnerships

What do these issues mean to us Group Work

We worked in small groups and talked about what we think are the important

things that we need to learn from what happened at Winterbourne View.


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Here are the important things we need to learn:

Good contracts

How to share information/concerns re individuals Data/information statistics (that may trigger alerts)

Information flow proactive and prevention

Dont put people with problems with lots of others

Clearer information sharing and listening (incsafeguarding and commissioning to have anoverview of full picture)

National Safeguarding Policies

Relationships between Health and Adult Social Careneed joint commissioning/management

Experts by experience

Relationships with family carers

More consultation with the people using services

Shared view of whats right we all have a say inwhats right

Identifying underlying causes

Not all out of area placements are bad but shouldhave choice

Dont let it get bad in first place

Hospitals are for when youre poorly not whenyoure disabled

Reciprocal arrangements for contract monitoring(national)

Out Of Area Protocol mandatory

DOH/ADASS mandatory protocols not justguidance

Policy for out of area placements. Health and Social

Care Vision, Value, Principles Culture local action, local environment, owned by

Government

How do you stop this happening again? Needs tocome from Government

Big bosses dont know what is going on in theirservice and cant keep track

Culture inherent

GPs to keep a register mandatory People with learning disabilities to be a higher

priority for CCGs


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Here are the important things we need to learn (continued):

More support for staff to blow the whistle on otherstaff. Dont move people out of area

Economic, efficiencies, effect level ofservices/quality

Localised inspection

Value staff salary, training

Employ the right people to do the job and make surethey have the right training

Advocacy

Changing expectations from Childrens Services Person Centred Commissioning early

intervention/support/planning 14-16+ not 17+

All staff to have a trial period and service users to beinvolved in interviewing and monitoring

Recruitment, workforce development

What this means to me and my role

People also said what they think this means for them or what they need to do in their job

Review process needs to be robust signed up to by all partners Procurement law prevents people from being creative Having more community based support for providers to avoid assessment and

treatment Commissioners out of area only by choice. Need backing of Government and CCGS,

statutory notice otherwise difficult with cuts to meet demand


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Give providers more secure funding options to develop more appropriate services Looking at different ways of providing better support for the same or less money. Agreements from providers in area. KIN make sure service users and carers know their rights. More support for families

who complain More support for families to complain. Independent people to monitor contracts Getting involved in inspections and monitoring (people with learning difficulties/families) Checking our local services Writing good contracts Developing feedback formsIncluding in area not just out of district Looking at our role in market development Influencing CCGs Monitoring/commissioning local services(specialist health) Developing improved local infrastructure/pathways Partnership Board knowledge, intelligence, plan, question, questions Require consistent approaches to terms and data, clarity of what needs to be reported

on (assessment, treatment, CHC, rehab etc) How to implement an action plan locally and who will take responsibility Need more supported living for people. Open Door Policy for family and friends.

Looking at our internal relationships (commissioner/safeguarding) Risk People with learning disabilities not high on CCGs agendas requires

collaboration, loss of Learning Disability commissioners Local Authorities need to follow the law


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Legal duties for owners Learning Disability Partnership Board need to have more influence/ensure

accountability and report/links to HWB Commissioners need to go to providers and tell them what we want and their need to set standards My role self advocate write to Government and tell them what we think Sharing information Link safeguarding, IMCA/IMHAs Local ownership and monitoring (IMHA) Invest in training for all staff Identifying emerging themes local changing the future Family members are asking more and the right questions My role advocacy need for long term work, not crisis intervention My role self advocacy we need to keep giving people more info on what is going on My rolemakes me angry that people who purchase cant step back to find new ways

to buy care Independent advocacy Identify our most important people for priority person centred plans etc


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Our big local messages

We worked in groups on what we think organisations and leaders needs to be doing orthinking about to help everyone make services better.

This table shows you what people said

To Directors of Social Services(ADASS)

To Clinical CommissioningGroups (CCGs)

To others / joint messages

To ensure partnerships work equally.

What is the shared vision??

Demonstrate that you aretaking people with LearningDisabilities seriously by havinga regular slot on the CCG

Agenda and commit toleadership for GPs

A fair price for a quality service -agree on a regional rateCheaper doesnt mean better


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Framework to review/toolkit all Out ofDistrict Placements

Clarity around local prioritysetting

CPP- Produced an approved provider

list/data, BUT contract ends inMarch 2013 - Risk goodwork/info sharing will be lost

-CQC and local CCGs need a co-ordinated approach to monitoring

Application of eligibility ofContinuing Health Care to beapplied consistently nationally

Partnership Boards- Speak up about getting right

support for people and changingthings that dont work

Who reports to the Health and WellBeing Board and how do reports gethighlighted/prioritised?

What is members responsibility?

Who is taking responsibility for theAction Plans can ADASS ask theSafeguarding Boards and share thiswith Learning Disability Partnershipboard as they need to know?

Learning disability is your dayjob

Learning Disability Chairs and Co-Chairs- Dont lose the message, hold

people to account- Get Co Chairs together to talk

about what they are doing


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Develop a standard Review Tool forQuality

Ownership, understanding,leadership and commitment forpeople with LearningDisabilities

Practitioners- This is your business, a tick box is

not good enough- Think not on my watch

To drive local leadership for peoplewith Learning Disabilities

To continue to commissionoutreach support

CQC- Be clear, stop confusing people- Information sharing, timelines of

information

Ensure a regional focus Develop early goodrelationships/understandingwith CCGs

NHS Commissioning Board- Sort out the GP Contracts so that

Learning Disability registers andhealth checks are not an option

Winterbourne is an agent for change To ensure partnerships workequally. What is the sharedvision??

Health Care Providers- You are part of the solution not part

of the problem


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Has to be a priority for ADASS thatWinterbourne never happens again

Framework to review/toolkit allOut of District Placements

All organisations- In times of austerity please dont

thing that there is a cheap solution

Not learning from past mistakesEmpty promises are no good

How scrutiny and monitoring inprivate provision is managed

Safeguarding- Good quality care is everyones

responsibility- More joined up working re alerts

and inside presence withinsafeguarding

Align Out of Area Protocol withSafeguarding

Make sure you commissionspecialist providers in eachCityMake sure that there iscompetition to keep upstandards

Develop contracts that are fit forpurpose

Review the content and use of the Outof Area Protocol

Ensure that Regional CommissioningForum is fully representative andagenda includes information sharing,including safeguarding/ providerissues


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Sign up to Out of Area Protocolregionally

Health and Wellbeing Boards- understand, challenge and hold

Health and Social Care communityto account

Take a lead in the contract monitoringrole and information sharing

Everyone- share your communication- agreement to share data- share soft data with regional

partners

How is leadership going to keepintelligence with all the changes lossof staff/history?

Providers- dont lose your values its core

business

Develop core standards/specifications that can be adaptedlocallyDevelop a national standard contractfor Learning Disability services


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What we will do next in our area

The team from each area worked on an action plan for what they will do after today with

what they have learnt or talked about.

Each area were sent a copy of their action plan with these notes

What we think is important for the future

The group from each area said the first big action they will take is:

North EastLincolnshire

Develop Partnership working more by setting up a Learning Disability Provider Forum

North Lincolnshire Build on our Complex Care Review turn into an action plan and make people

accountableDoncaster Develop more our Joint Learning Disability contract and monitoring

Barnsley Quality contracts start using it


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Rotherham We will make sure people who live or work in care homes know about Advocacy

Bradford Develop a central intelligence service to log information so we can see any trends

Kirklees Include Experts by Experience in contract monitoring

Leeds Work together to look at people experiences and Person Centred Planning and takethose messages to the CCG Health &Well Being Board

North Yorkshire We are holding an inclusive meeting to develop the Action plan to be accountable to theBoard

Sheffield Put a plan in place to join up all the work we are doing get people to understand whatcommissioning intentions are

East Riding Get a shared Statement of intent and sign up on Out of Area Placements across health

and social careWakefield Develop a shared vision and what all partners should be doing


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What will happen next

Rosy will take the feedback from today to the ADASS group

Everyone agreed it would be good to have another leadership meetingPeoples ideas for this next meeting were:

Shared responsibility Review against what we said and the National Programme Commissioning strategy in our areas what works, hourly rates Delivering creative local provision Talk about what is happening in other areas, hold people to account report back

on outcomes Personalisation/RAS how are people doing Understand if anything has changed Barriers to real change happening Risks from the new structures Approaches to personalisation Are there any regional initiatives to consider How can we decide what is more important/urgent A forum which must continue and grow with increased representation Progress on actions from today Outcomes from the DH Report Sharing of action plans and local or regional improvements Progress and DoH findings


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Date of the next meeting:28th January at 10am in York

The next meeting will be about- Checking what is happening in local areas on the Winterbourne View Action Plans- The Health and Social Care Self - Assessment and how it should work in the future

Feedback from the meeting

Was the meeting useful?

Extremely useful to have Rosy present was very good, good to hear fromother areas and learn/share experiences

Timing good, enough content and time to consider ideas as well as mixed withpresentations

Thought it was good

A way of sharing best practice and how people got there/main challenges

Well explained

Helpful day First classON THE BUTTON!

Excellent chair good useful discussion of all key issues

Very useful meeting, time to consider, reflect and plan


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Helpful day, time out is so very vital

Really useful meeting

I thought it was very good and everyone got together and shared ideas

Positive

Good that we got our point across as self advocates

Good networking. Good to hear ideas that other are doing

I have learnt a lot today about everything in this meeting thank you

Well focused, well paced and good to keep emphasising resulting actions

What couldve been done differently?

Different place/time Couldnt always hear okay

Different location

CQC should be represented

Not enough chocolate biscuits


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Who was at the meeting

Name AreaRosy Pope ADASS / East Riding

Heather Raistrick SHAAlison Porter East Riding

Derek Barker East Riding

Neil Griffiths East Riding

Liane Kirk East Riding

Jo Barnes NE Lincs

Angie Walker NE Lincs

Gary Stark NE Lincs

Janet Wright LeedsSteve Foy Leeds

Norman Campbell LeedsSharon Graham Barnsley

Joanne Price BarnsleyKaren Smith Rotherham

Kate Tufnell Rotherham

Robert Parkin Rotherham

Laura Supporter Rotherham

Louise Metali RotherhamDebbi Gittins Wakefield

Nicola Pearce Wakefield

Barrie Warner Wakefield

Peter Collier Doncaster


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Wayne Goddard DoncasterMark Feeney Kirklees

Gary Wainwright KirkleesSarah Roberts Kirklees

Nicola Cromack KirkleesJoss Harbron North Yorkshire

Sue Lear North Yorkshire

Joanne Mosby North Lincs

Julie Clark North Lincs

Dave Rosser Bradford

Karen Amos Bradford

Damien Marshall Bradford

Tim Pickles Bradford

Mairead O Donnell BradfordBill Hodson Health & Well Being Collaborative

Heather Burns Sheffield

yh leadership meeting 30th october 2012 final

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